Organization
INTEGRATED MATRIX ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE L MARTIN MD (MANAGER)
(602) 328-0382
Entity
Organization
Contact information
Practice address
20401 N 73RD ST STE 155, SCOTTSDALE, AZ 85255-4149
(602) 328-0382
Mailing address
2801 CENTERVILLE ROAD, PMB 642, WILMINGTON, DE 19808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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